RANDY M HAUCK (NPI# 1801852348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801852348 |
Entity Type | Individual |
Full Name | RANDY M HAUCK |
Credential | M.D |
Practice Address |
30 Hope Dr Ste 2400 Hershey PA 17033-2036 |
Mailing Address |
Po Box 858 Mc A410 Hershey PA 17033-0858 |
Practice Telephone | 7175315638 |
Practice Fax Number | 7175310098 |
Mailing Telephone | 8002431455 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2019-11-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208200000X | Plastic Surgery | MD030403E | PA | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD030403E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 12657800008 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
500 University Dr, Hershey, PA 170332360 | 8002431455 |
Street Address |
30 HOPE DR STE 2400 |
City | HERSHEY |
State | PA |
Zip Code | 17033-2036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679568810 | Jaime Danielle Halin | Physician Assistant | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2005-09-14 |
1205336047 | Lauren M Price | Physician Assistant | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2018-02-19 |
1881118289 | William G Gerber | Physician Assistant | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2017-07-28 |
1356757447 | Janel Lynn Maguire | Physician Assistant | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2014-07-09 |
1023384997 | Lucas E Nikkel | Orthopaedic Surgery | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2012-03-26 |
1598055329 | Nikkole M Haines | Orthopaedic Surgery | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2011-04-13 |
1518287010 | Gary F Updegrove | Orthopaedic Surgery | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2010-06-07 |
1134260185 | Glenn A Miller Jr. | Physician Assistant | 30 Hope Dr Ste 2400, Hershey, PA 17033 | 2007-02-12 |
1427147891 | Karyn Diane Miller | Orthopaedic Surgery | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2006-10-12 |
1831108570 | John C Elfar | Orthopaedic Surgery | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2006-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
Find all providers in zip 17033 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659691228 | Brad T Morrow | Surgery | 500 University Dr, Hershey, PA 17033-2360 | 2010-06-07 |
1841241700 | John Damian Potochny | Surgery | 500 University Dr, Hershey, PA 17033-2360 | 2006-05-15 |
1184680621 | Donald R Mackay | Surgery | 30 Hope Dr Ste 1860, Hershey, PA 17033 | 2006-04-25 |
1790750420 | The Milton S Hershey Medical Center Physicians Group | Surgery | 500 University Dr, Hershey, PA 17033-2360 | 2006-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326698549 | Michael Shafran Do PC | Surgery | 2 Park Ln Fl 3, Feasterville Trevose, PA 19053-6004 | 2019-09-19 |
1255873915 | Lam Plastic Surgery LLC | Surgery | 848 Town Center Drive, Langhorne, PA 19047-3439 | 2016-11-12 |
1487029971 | Philip Lipkin | Surgery | 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 | 2015-12-09 |
1477865566 | Ralph W Hamilton | Surgery | 847 Willow Valley Lakes Dr, Willow Street, PA 17584-9040 | 2010-07-06 |
1770801870 | Irene Teting Ma | Surgery | 3550 Terrace St 664 Scaife Hall, Pittsburgh, PA 15261 | 2010-05-13 |
1649408162 | Michael David Lado | Surgery | 1828 Ridgewood Rd, Orwigsburg, PA 17961-9525 | 2009-06-23 |
1245490515 | Wellspan Medical Group | Surgery | 50 Wyntre Brooke Dr, York, PA 17403-4535 | 2008-06-11 |
1982813853 | Wellington Joseph Davis IIi | Surgery | 1210 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6229 | 2007-05-21 |
1043423502 | James William Slavin | Surgery | 8216 Cedar Rd., Elkins Park, PA 19027-2114 | 2007-05-08 |
1467679787 | Amelia Arianne Pare Md PC | Surgery | 123 Hidden Valley Rd, Mc Murray, PA 15317-2603 | 2007-04-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.